Healthcare Provider Details

I. General information

NPI: 1972069680
Provider Name (Legal Business Name): ANYISEL DARBOYS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 02/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9289 BYRON AVE
SURFSIDE FL
33154-3027
US

IV. Provider business mailing address

9289 BYRON AVE
SURFSIDE FL
33154-3027
US

V. Phone/Fax

Practice location:
  • Phone: 786-897-9699
  • Fax:
Mailing address:
  • Phone: 786-897-9699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11001513
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: